2017 VBS Registration Form -- June 19-23

9am-12 Noon
6011 Merriman Rd., Roanoke 24018
4 year olds - rising 6th graders
*If parent is volunteering, childcare will be provided for ages 3 & under
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    Child Registration

    IF REGISTERING MULTIPLE CHILDREN, RESUBMIT FORM FOR EACH CHILD. PLEASE FILL OUT ALL PARENT INFORMATION (address, contact info, etc.) FOR EACH CHILD.
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